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Home My WebLink AboutZ-15047FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE C. O. Certificate Of Occupancy prior to No..Z..1.5.0.4.7. ......... Date October 28 19.86 THIS CERTIFIES that the buildLn§ One family dwelling Location of Property .. 25855 Main R6ad, Rt. 25 Cutchogue. Hods~ ~io~ ....................... ~'~ie~i ............................ Ham/et County Tax Map No. 1000 Section .... 1.0.9. ..... Block 02 .Lot 008 Subdivision ............................... Fi/ed Map No ......... Lot No .............. Requirements for a private one family dwelling built conforms substantially to me 711~l(ll~l~lXlXXiXaXRXiltt~R/f/fliil{lt~rl~t~t~Xilii/aK:l~:(~~ . ..C.e_rtificate of Occupancy .~.p..r..i.1..2.3. ........... ,1957. pursuant to wkicla lt~ No ........... $ .1.5.0.4. 7. .... dated . .O.c.t. 9.b.e.r...2.8 ............... 19..8 .6, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One family dwelling, 5 accessories including pool B.P. 8419Z-C O Z7261 The certificate is issued to Richard W. Grathwohl ..................... ioh;n' ;, ..................... of the aforesaid building.. Suffolk County Department of Health Approval . No record UNDERWRITERS CERTIFICATE NO. .[q9. r¢cord ' *** See attached inspection report. Building Inspector Rev. 1/81 BUILDING DEPARTI'~NT TOt'S! OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 25~55 Main Road, Rt. 25, Cutchoque (numoer & street) Map No. (Municipality) Lot(s) Neume of Owner(s) RICHARD W. GRATHWOHL Occupancy R-1 (type) A~mitted by: Mr. Grathwohl owner (owner-tenanT) Accompanied by: Mr. Grathwohl Key available Suffolk Co. Tax No. 109-02-008 Source of request Richard W. Grathw~hl Date Oct. 10, 1986 D~,~LLIMG: Type of construction Foundation cement block Total rooms, 1st. F1 5 Bathroom(s) 1 Porch, type Breezewa~ Type Heat oil fired Fireplace(s)wood burner No. Exits Domestic hotwater yes Other wood framed Deck, type Garage Warm Air #stories Cellar full Crawl space. 2nd. FI 2 3rd. FI Toilet room(s) 1 Patio, type Utility room Hotwater steam 2 Airconditioning Type heat'er gas ACCESSORY STRUCTURES: Garage, type const. 1 car wood Swimming pool with fence & deck Other Wood out house Two_large Storage, type const, mena~ Guest, type const. VIOLATIONS: Location Housing Code, Chapter 45N.Y. Stat¢~iform~Fire Prevention & Buz±mzng Coae Description I Art. I Sec. Swimming pool with deck around and a stockade fence around. B.P. #8419Z C.O. Z7261 No violations of Ch F of Chapter 45 N.Y. State Uniform Fire Prevention Buildinq Code. Remarks: Inspected by: ~ate of Insp. 10/24/86 CURTIS W. HORTON ' Time start 3: 45 end 4 ~ 30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safew inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: ~. cCertificate of occupancy $5.00 ertificate of occupancy on pre-existing dwelling opy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 $15.00 Date..~I. ~-..~,: .~'(rp. ............ NewConstruction ...... OId or Pre-existing Building .....v~.. ..... Vacant Land ............. Location of Property . .~.~. 8. ~.'~. .... ' .......... t~ .~././~....~ .0..~.O."T'... ~,lq~,~ J~.. (_'~( ~- House No. Street Hamlet Owner or Owners of Property .R.[~..~..~ ~ ..... ~)..,...~_~..~ ~.~..~.N~.(~.~,.. ................. County Tax Map'No. 1000 Section .../.(~.~. ,0..(~... Block . ~. ~1>. ~.O..O. ..... Lot..0.(~..~.,..O..O..t~.. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ........ ~ ......... Fee Submitted $/~,. 0/-~ ....................... Construction on above described building and permit meets all applicable codes a~d regulations. Applicant .v. ~.. ~./Z'....c,-.,..-~.~-~..-~-..: .-~.- ............... ,..,o-,o-,, 30¢ ./